Anesthesia Consent Form

Having requested such emergency procedures, I agree to be held responsible for a resuscitation fee for the services performed while staff members pursue treatment and try to reach me for further directions.

I agree that if the Nash County Animal Hospital staff is unable to reach me within 15 minutes after the initiation of CPR procedures, and after exercising reasonable medical judgment, a veterinarian determines that there appears to be virtually no hope for medical success, the future CPR procedures will cease.

I have been informed by Nash County Animal Hospital and understand that despite the best efforts of the veterinarian and staff at Nash County Animal Hospital, CPR may not save my pet's life. I also understand that even the most successful CPR that restores my pet's life may not allow my pet to regain his/her normal mental and physical health, and thus may leave him/her as invalid.

DO NOT RESUSCITATE MY PET. I have read the above information and release. I agree to the above terms and request that NO CPR BE PERFORMED ON MY PET.